Hardinsburg Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Hardinsburg Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF656Jul 14, 2022

  Based on observation, interview, record review and facility policy review, it was determined the facility failed to ensure a Comprehensive Care Plan (CCP) was developed and/or implemented for four (4) of seventeen (17) sampled residents (Residents #8, #9, #10, and #13). 1. Resident #9 was known to wander excessively around the facility from [DATE] to February 2022. However, record review revealed the resident's care plan contained little to no interventions for protection of Resident #9 and/or other residents in the facility from his/her intrusive wandering behaviors. […]

• Immediate jeopardy, patternF689Jul 14, 2022

  Based on observation, interview, record review and facility policy review, it was determined the facility failed to ensure four (4) of seventeen (17) sampled residents (Residents #8, #9, #10 and #13) received the necessary care and services to prevent accidents resulting in injury. 1. Resident #9 sustained a fall on [DATE] at 1:50 AM, and had complaints of head and neck pain, and was transported to the hospital Emergency Department (ED) where he/she was diagnosed with a subdural hematoma. Resident #9 was readmitted to the facility on [DATE] at 7:30 AM with continued complaints of head pain. […]

• Immediate jeopardy, patternF835Jul 14, 2022

  Based on interview, record review, review of the facility's Administrator Job Description, and review of the facility's policy, it was determined the facility failed to be administered in a manner to use its resources effectively and efficiently to ensure residents attained and/or maintained their highest practicable physical, mental, and psychosocial well-being for four (4) of seventeen (17) sampled residents (Residents #8, #9, #10, and #13). Refer to F656 and F689. The facility's failure to have an effective system in place to ensure the facility was administered effectively caused or was likely to cause serious injury, harm, impairment or death to a resident. Immediate Jeopardy (IJ) was identified on 06/30/2022, and was determined to exist on 10/31/2021. […]

• No harm, potential for more than minimal, widespreadF812Jun 14, 2024

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to store, prepare, and serve food in a sanitary manner and in accordance with professional standards for food service safety. The sanitation handwashing area, sanitation prep sink area, and flooring were dirty/soiled and in need of cleaning. Dry spices, as well as food stored in the refrigerator and freezer were open and unsealed, unlabeled, undated, and/or past their expiration date. Scoops used for serving food were dirty with old food particles dried to them. Staff were not trained and/or were unaware of food storage requirements. […]

• No harm, potential for more than minimal, patternF761Jun 14, 2024

  Based on observation, interview, review of facility policy, and review of manufacturer's information, the facility failed to ensure that all drugs and biologicals used in the facility were labeled in accordance with professional standards, including open/use by/expiration dates and/or resident name for at least seven (Resident (R) 39, R26, R43, R5, R34, R25, and R48) of 43 residents whose medications were observed during an audit of three of the facility's four medication carts. The findings include: Review of the facility policy, Medication Administration Standard of Practice, with a review date of ,d+[DATE], revealed, When opening a multi-dose container, the date opened shall be recorded on the container. Expired/beyond use date medication should not be administered. […]